Brady Pregerson, MD

A patient in their mid-70s presents to the hospital with chest pain since 2 AM that became constant at 5 AM and made him vomit. The pain radiates to the back and is pleuritic, but only mildly so. He denies syncope, palpitations, SOB, leg swelling or pain, fever, cough or other complaints.

Vital signs are normal except for bradycardia. The physical exam is normal except that he is moaning in pain.

An ECG is performed:

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Our latest case report from Brady Pregerson, MD, features a patient in their mid-70s presenting to the hospital with chest pain since 2 AM that became constant at 5 AM and made him vomit. Check out the EKG and determine the correct diagnosis!

Cardiology Case Report: Early Morning Chest Pain

A patient in their mid-70s with a history of atrial fibrillation on warfarin with a recent CABG is brought in by ambulance with chest pain and shortness of breath that has been gradually worsening over the past 2 days. Medics gave nitrogen, which cause the blood pressure to drop but did not help the pain. His recent CABG was about 1 week ago.

He denies syncope, palpitations, fever, cough, leg swelling, or other complaints.

Vital signs are normal except for a pulse of 108 and BP of 92/66. The physical exam is also normal except for the CABG scar, which appears to be healing w/o complication

: Atrial fibrillation with RVR and one PVC, low voltage QRS, nonspecific TWA

Our latest case report from Brady Pregerson, MD, features a man in his mid-70s with a history of AFib on warfarin and a recent CABG brought in by ambulance with worsening chest pain and shortness of breath. Can you determine the correct diagnosis?

Cardiology Case Report: Chest Pain After CABG

A patient in his early-40’s presents to the hospital with DOE while playing golf. Normally he walks 18 holes w/o difficulty but yesterday he struggled the entire time. He denies syncope, palpitations, chest pain, fever, cough, leg swelling or other complaints.

Vital signs are normal. The physical exam is also normal.

: NSR at 70, ST & marked T wave abnormality, consider anterior ischemia

Our latest cardiology case report from Dr. Pregerson features a man in his mid-40s presenting to the hospital with dyspnea on exertion during golf the day before. Check out the ECG and determine the correct diagnosis!

Cardiology Case Report: Dyspnea on Exertion Playing Golf

A patient in her mid-40’s presents to the hospital with palpitations for the past 2 hours. She feels light-headed but denies syncope, chest pain, SOB, fever, cough or other complaints.

Vital signs are normal except for a pulse of 118. The physical exam is otherwise normal with clear lungs and no peripheral edema.

Our latest case report from Brady Pregerson, MD, features a woman in her mid-40s presenting with palpitations the past 2 hours. Check out the EKG and determine the correct diagnosis!

Cardiology Case Report: Palpitations

A patient in their early-60’s with no PMH presents to the hospital with 2 months of gradually worsening dyspnea on exertion that has been worse for the past few days. He thinks the trouble breathing may be an allergic reaction to a new skin cream he is using because the timing seems to fit. He denies syncope, palpitations, chest pain, leg swelling, or other complaints.

Vital signs are as follows: Temp 98.8, BP 115/73, HR 112, RR 21, Sat 92%. Exam is otherwise normal with no rash, leg swelling, stridor, or wheezing/rales.

Computer Read: Sinus tachycardia at 109, cannot rule out inferior infarct of indeterminate age

Our latest case report from Brady Pregerson, MD, features a man in his early 60s presenting with months of gradually worsening dyspnea on exertion that has been worse for several days. Check out the EKG and determine the correct diagnosis!

Case Report: DOE

An elderly male with a past medical history of diabetes and stage 5 chronic kidney disease is brought to the hospital by medics with 2 days of nausea, vomiting and generalized weakness. He denies any chest pain, difficulty breathing, fever, chills, abdominal pain, diarrhea, melena, or other complaints. He has a dialysis fistula but has not yet started dialysis. His home medications include losartan, amlodipine, Lasix, sitagliptin, and Plavix.

He is normotensive however heart rate is in the 20–30s range. His extremities are warm and well perfused with a palpable thrill in the left arm. He is not confused. He has faint crackles in the bases bilaterally with trace lower extremity edema.

Computer Read: Atrial fibrillation at 24, marked LAD, RBBB

Our latest case report from Brady Pregerson, MD, features an elderly male with a past medical history of diabetes and stage 5 CKD presenting with 2 days of nausea, vomiting, and generalized weakness. Check out the EKG and determine the correct diagnosis!